| Heart To Home Doctor | |
|
1811 S Rainbow Blvd Ste 108 Las Vegas NV 89146 | |
| (702) 876-0350 | |
| (702) 847-7437 |
| Full Name | Heart To Home Doctor |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 S Rainbow Blvd Ste 108, Las Vegas, Nevada |
| Authorized Official Name and Position | Maria Corazon O. Regalado (PRESIDENT) |
| Authorized Official Contact | 7028760350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart To Home Doctor 1811 S Rainbow Blvd Ste 108 Las Vegas NV 89146-0037 Ph: (702) 876-0350 | Heart To Home Doctor 1811 S Rainbow Blvd Ste 108 Las Vegas NV 89146 Ph: (702) 876-0350 |
| NPI Number | 1053651091 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 07/30/2018 |
| Medicare PECOS PAC ID | 8325283906 |
|---|---|
| Medicare Enrollment ID | O20130412000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053651091 | NPI | - | NPPES |
| 8966 | Other | NV | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8966 (Nevada) | Primary |
| Provider Name | Maria Corazon O Regalado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669420402 PECOS PAC ID: 3173571585 Enrollment ID: I20090211000263 |
| Provider Name | Zelluyah W Gaitho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
| Provider Name | Marilou Abellana Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528307659 PECOS PAC ID: 2961644901 Enrollment ID: I20130805000276 |
| Provider Name | Neda Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174967400 PECOS PAC ID: 0244491561 Enrollment ID: I20140109000616 |
| Provider Name | Theresa S Montecillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720422991 PECOS PAC ID: 1153550280 Enrollment ID: I20140212000510 |
| Provider Name | Chinomso D Ezenwata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851785828 PECOS PAC ID: 9436451515 Enrollment ID: I20160106001557 |
| Provider Name | Aileen Cabading Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225517584 PECOS PAC ID: 2365792272 Enrollment ID: I20180913001048 |
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